diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
index 960467e..dc1e173 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
@@ -22,6 +22,7 @@ import com.lyms.platform.permission.service.OrganizationService;
 import com.lyms.platform.permission.service.UsersService;
 import com.lyms.platform.pojo.*;
 import com.lyms.platform.query.MatDeliverQuery;
+import com.lyms.platform.query.PatientsQuery;
 import com.lyms.platform.query.PostReviewQuery;
 import com.lyms.platform.query.ReferralApplyOrderQuery;
 import org.apache.commons.collections.CollectionUtils;
@@ -208,17 +209,33 @@ public class PostReviewFacade {
 
     //当非建档医院修改初诊信息时,需要同步给建档医院
     private void syncMaster(String parentId) {
-
-        //当前非建档医院最新的状态
-        Patients patients = patientsService.findOnePatientById(parentId);
-
-        if (StringUtils.isNotEmpty(patients.getSource())) {
-            Patients masterPatients = patientsService.findOnePatientById(patients.getSource());
-
-            masterPatients.setNextCheckTime(patients.getNextCheckTime());
-            masterPatients.setFmDate(patients.getFmDate());
-            masterPatients.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
-            patientsService.updatePatient(masterPatients);
+        if(StringUtils.isNotEmpty(parentId)){
+            //当前非建档医院最新的状态
+            Patients patients = patientsService.findOnePatientById(parentId);
+
+            if (StringUtils.isNotEmpty(patients.getSource())) {
+                Patients masterPatients = patientsService.findOnePatientById(patients.getSource());
+
+                masterPatients.setNextCheckTime(patients.getNextCheckTime());
+                masterPatients.setFmDate(patients.getFmDate());
+                masterPatients.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
+                patientsService.updatePatient(masterPatients);
+            }else {
+                PatientsQuery patientsQuery1=new PatientsQuery();
+                patientsQuery1.setSource(parentId);
+                patientsQuery1.setYn(YnEnums.YES.getId());
+                List<Patients> list=  patientsService.queryPatient(patientsQuery1);
+                if(CollectionUtils.isNotEmpty(list)){
+                    for(Patients p:list){
+                        Patients p1= new Patients();
+                        p1.setId(p.getId());
+                        p1.setNextCheckTime(patients.getNextCheckTime());
+                        p1.setFmDate(patients.getFmDate());
+                        p1.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
+                        patientsService.updatePatient(p1);
+                    }
+                }
+            }
         }
     }